A 12-month-old boy weighed 8 lb 2 oz at birth. What weight should the nurse expect him to be now?

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Question 1 of 5

A 12-month-old boy weighed 8 lb 2 oz at birth. What weight should the nurse expect him to be now?

Correct Answer: C

Rationale: Infants typically triple their birth weight by 12 months. For an 8-lb infant, that would be approximately 24 lb.

Question 2 of 5

A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is

Correct Answer: C

Rationale: The Edinburgh Postnatal Depression Scale is a screening tool for postnatal depression which might address her unhappiness.

Question 3 of 5

An adult has a central line in his right subclavian vein. The nurse is to change the tubing. Which of the following should be done?

Correct Answer: C

Rationale: The correct action to be taken when changing the tubing of a central line in the right subclavian vein is to close the roller clamp on the new tubing after priming it. This step is important to prevent air from entering the central line, which can lead to an air embolus. Proper priming and ensuring that the tubing is connected securely are essential steps in maintaining the integrity and safety of the central line system. Therefore, closing the roller clamp after priming the new tubing is crucial to prevent complications.

Question 4 of 5

Which is the central factor responsible for respiratory distress syndrome?

Correct Answer: A

Rationale: Respiratory distress syndrome is primarily caused by deficient surfactant production in premature infants. Surfactant is a substance that coats the alveoli in the lungs and helps to reduce surface tension, preventing the collapse of the alveoli during exhalation. In premature infants, the lungs may not have produced enough surfactant, leading to difficulty in breathing and inadequate oxygen exchange. This results in respiratory distress syndrome, which is characterized by severe breathing problems in newborns. Overproduction of surfactant, overdeveloped alveoli, or absence of alveoli are not central factors in the development of respiratory distress syndrome.

Question 5 of 5

The nurse must assess a 10-month-old infant. The infant is sitting on the father's lap and appears to be afraid of the nurse and of what might happen next. Which initial action by the nurse would be most appropriate?

Correct Answer: D

Rationale: Talking softly to the infant while taking him from his father would be the most appropriate initial action by the nurse in this situation. This approach allows the nurse to maintain communication with the infant to provide comfort and minimize fear or anxiety. By using a gentle tone and reassuring words, the nurse can help establish a sense of safety for the infant as he is transitioned from his father's lap to the examination table. This gradual and supportive approach is likely to facilitate a smoother assessment process and help build trust with the infant and the family.

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